Acupotomy for the treatment of lumbar spinal stenosis

Kwon, Chan-Young; Yoon, Sang-Hoon; Lee, Boram; Leem, Jungtae

doi:10.1097/md.0000000000014160

Cited by 7 publications

(8 citation statements)

References 30 publications

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“…Therefore, there has recently been a growing interest regarding safer and more effective conservative treatments, such as acupuncture and acupotomy, which have been widely used in clinical practice for the treatment of LSS. Recently, various studies have reported the efficacy and safety of acupuncture and acupotomy in LSS [19–21] …”

Section: Discussionmentioning

confidence: 99%

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Effectiveness and safety of acupotomy on lumbar spinal stenosis

et al. 2021

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Introduction: Lumbar spinal stenosis (LSS) is a pathological condition that causes a variety of neurological symptoms due to narrowing of the anatomical structures; usually, conservative treatment is recommended, rather than surgical treatment. Acupotomy combines conventional acupuncture with small scalpels; the procedure can be considered minimally invasive, and has recently received considerable attention in clinical practice. Still, there is a lack of data and randomized controlled trials regarding acupotomy related to LSS. Additional studies are necessary, considering the low methodological quality and small size of the study. Methods and analysis: This is a pragmatic, pilot, randomized controlled trial. The trial comprises 8 weeks of treatment, with 16 visits and a 4-week follow-up period. Forty participants diagnosed with LSS will be randomly assigned to either the experimental or control groups; both groups will receive acupuncture and interferential current therapy twice a week for 8 weeks, while the experimental group will receive an additional acupotomy intervention once a week for 8 weeks. The primary outcome will be assessed using the visual analog scale; the secondary outcome will be measured by self-rated walking distance, Oswestry Disability Index, and short-form McGill Pain Questionnaire. Measurements will be obtained prior to the start of the clinical trial, 4 weeks after the interventional procedure, 8 weeks after the procedure, and 4 weeks after the end of the interventional procedure. Blood tests and adverse reactions will be performed to ensure safety of the treatments. Conclusion: We expect that this study will provide basic data for future large-scale acupotomy studies regarding LSS.

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Section: Discussionmentioning

confidence: 99%

“…Although the methodological quality of the study is poor and the number of good-quality RCTs few, the superiority of acupotomy has been reported in a meta-analysis [21] . While studies on the efficacy of acupotomy are ongoing, there are limitations to the application of these clinical studies in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness and safety of acupotomy on lumbar spinal stenosis

et al. 2021

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“…[ 11 ] Some studies have shown that acupotomy therapy can release adhesions, alter the mechanical balance of the knee joint, improve lymphatic circulation, and reduce abnormal tissue pressures. [ 12 ] Acupotomy has been widely used clinically with a satisfactory efficacy. With the development of ultrasound technology, ultrasound-guided acupotomy has shown great value in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Acupotomy by ultrasound-guided versus anatomical guidance in knee osteoarthritis: A protocol for systematic review and meta-analysis

et al. 2022

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Background: At present, there is no systematic evaluation on whether ultrasonic-guided acupotomy is more effective compared with anatomical guidance in knee osteoarthritis. We conducted a protocol for systematic review and meta-analysis to provide a method for evaluating the effectiveness and safety of acupotomy by ultrasound-guided technique.Methods: An all-round retrieval will be performed in the following electronic journal databases from their inception to October 2022, which comprise PubMed, MEDLINE, EMBASE, Cochrane Library, China National Knowledge Infrastructure, Wanfang data, Chinese Scientific Journals Database, and China biomedical literature database. The following key words were used on combination with Boolean operators AND or OR: "acupotomy," "ultrasound," "knee osteoarthritis." Two authors completed the quality assessment using the Cochrane Collaborations risk of bias tool. The meta-analysis was conducted using Review Manager 5.3 software from the Cochrane Collaboration (London, UK).Results: The findings of this study will be submitted to peer-reviewed journals for publication. Conclusion:This systematic review will provide evidence to judge whether acupotomy by ultrasound-guided technique is effective and safe for knee osteoarthritis.

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“…The lumbar vertebrae is a major target treatment region for acupotomy therapy. 12 , 13 , 14 , 15 , 16 , 17 From clinicians’ point of view, the TPs and FJs are direct treatment targets for facet joint pain, lumbar spinal stenosis, and the 3rd transverse process syndrome. Further, the TPs and FJs are utilized as landmark structures when other muscles, such as the quadratus lumborum, iliopsoas, and multifidi, are stimulated.…”

Section: Introductionmentioning

confidence: 99%

Using magnetic resonance imaging to measure the depth of acupotomy points in the lumbar spine: A retrospective study

Yoon

Kim

Lee

et al. 2021

Integrative Medicine Research

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Background The acupotomy is an acupuncture device recently used to stimulate lumbar vertebrae such as transverse processes (TPs) and facet joints (FJs). However, there are many organs, nerves, and blood vessels, which can lead to side effects if the needle misses the treatment target. Therefore, information regarding appropriate insertion depths, which is currently lacking, could facilitate its safe use. We retrospectively investigated the depth from the skin to the TP and FJ of the lumbar vertebrae, using magnetic resonance imaging (MRI). Methods This retrospective chart review was conducted at a single medical centre in Korea. From 55,129 patient records, 158 subjects were selected. Perpendicular depth from the skin to the left and right TPs and FJs was measured using T1-weighted sagittal plane MRI. Depth differences between the left and right sides were evaluated using the paired t -test and analysis of covariance (body mass index [BMI] as a covariate). The influence of BMI on depth at each location was evaluated by simple linear regression analysis. Results The mean age was 43.2 years and mean BMI was 23.6 kg/m 2 . The depth from skin to the TPs or FJs was unaffected by age, sex, or side. Mean depths (cm) were as follows: (TPs) L1 = 4.5, L2 = 4.9, L3 = 5.3, L4 = 5.7, L5 = 5.9; (FJs) L12 = 3.8, L23 = 4.0, L34 = 4.4, L45 = 4.6, L5S1 = 4.6. Depth was highly correlated with BMI at each location. Conclusion The depth of TPs and FJs adjusted for BMI can safely and effectively be used for treatment via various invasive interventions, including acupotomy treatment, in the lumbar region.

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Acupotomy for the treatment of lumbar spinal stenosis

Cited by 7 publications

References 30 publications

Effectiveness and safety of acupotomy on lumbar spinal stenosis

Effectiveness and safety of acupotomy on lumbar spinal stenosis

Acupotomy by ultrasound-guided versus anatomical guidance in knee osteoarthritis: A protocol for systematic review and meta-analysis

Using magnetic resonance imaging to measure the depth of acupotomy points in the lumbar spine: A retrospective study

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